Our February Academic Forum was on Obstetrics Emergencies. We had two speakers:
1. Omar Elhalwagy, a PCP student and our Academic Forums Officer. Omar talked about a complex case he attended while on shift, the process of diagnostic reasoning in this case and the change in priorities when learning more information.
2. Andy Whitehouse, a HEMS paramedic with London's Air Ambulance. His talk focused on why obstetrics emergencies can be difficult to manage in a prehospital environment and took us through the management of some emergencies you might encounter..
Our January Academic Forum was on the topic of Catastrophic Injury. We had 3 speakers:
1. Dr. Jonny Scrimshaw, an Emergency Medicine and Prehospital Care doctor with London’s Air Ambulance and the Physician Response Unit. He spoke about traumatic cardiac arrest and catastrophic injury as a post-mortem diagnosis, highlighting why patients are worth fighting for.
2. Harry Mitchell, a fourth year MBBS student and a third-year student on the PCP programme. He spoke about a RTC he attended, the importance of reading the scene and the considerations around RTCs involving a motorcycle.
3. Dr. Gareth Grier, a consultant with London's Air Ambulance and Clinical Director and Education Lead at The Institute of Pre-Hospital Care. He is also the co-founder of the Pre-Hospital Care iBSc which runs at Barts and The London. He explored what catastrophic injury means, talking through cases and examples.
Our November Academic Forum was on the topic of Paediatric Trauma. It was our first ever international one, and students on the Barts MBBS course in Malta streamed the talks for the first time. We had two speakers:
1. Dr. Prasanth Sritharan, a PCP alumn and ex-Academic Forums Officer soon to start CT1 in Anaesthetics. He spoke about a case he attended when he was a student on the PCP programme of a significant fall in a young child. He also spoke about important differences in physiology between children and adults.
2. Dr. Andrew Wood, a HEMS anaethetist working with London's Air Ambulance with an interest in major trauma. He spoke about a case he attended, involving two paediatric patients
Our first Academic forum of the year with our new AF Officers, Eliot Siggs and Omar Elhalwagy, was on the theme of Uncertainty in a prehospital care setting. We had three speakers:
1. Dr. Andrew Milne, a HEMS registrar with London's Air Ambulance and a trainee at the Central London School of Anaesthesia. He spoke about the sources and dimensions of uncertainty, the concept of bandwidth, and ways clinical uncertainty can be minimised.
2. Daniel Wynn, a third year MBBS student on the PCP programme, was talking about a cardiac arrest he attended, where language barriers and difficulty communicating with the patient's family made decision-making regarding continuing CPR very complex.
3. Dr. Carl Evans, a junior doctor and alumn of the Prehospital Care iBSc. He wrote his dissertation on uncertainty following out of hospital cardiac arrest and management of these patients, and has done further research on the topic since. At the forum, this is what he spoke about, focusing on airway management, drugs, refractory VF as well as where should the patient go?
Especially for us time has flown since we had our first AF in September 2018 and now its is our final AF of the 2018-2019 year. For our final AF, we come full circle from the topic we originally began this year, which was on Knife Crime and Trauma. For this AF, we had three great speakers including:
1) Dr Ben Singer, discussed penetrating traumas and also on the use of REBOA and its future developments.
2) Jon Haigh, a Tactical Response Unit Paramedic, spoke about the Do's and dont's of responding alone to a penetrating poly-trauma patient, providing a Paramedic's perspective of a case.
3) Joe Berry, 3rd year PCP student. Joe spoke about a case he had attended with HEMS. In particular, he discussed the management of the patient with multiple penetrating injuries and hypovolemic shock.
Thank you to all the speakers that have given up their time to speak to us at these AFs and those that attended them! Massive thank you to our AF officer, Sruthi for all her hard work organising speakers and booking the lecture theatre. Now she hands the reigns of academic forums to the new AF officers, Omar and Eliot.
Our penultimate academic forum of the 2018/2019, which we have to admit has arrived very quickly. The April forum was based on the topic of Fundamentals of Prehospital Care. We had four speakers including:
Speaker 1: Natalie Jones, a LAS paramedic, who discussed a case that she had attended with a theme of assessing difficult patient groups. One of her key discussions will focus on the assessments of individuals with learning difficulties and/or ASD and some of the challenges that may present.
Speaker 2: Captain Neil Jeffers, the Chief Pilot with LAA, will be discussed his own experiences flying with HEMS and handling of human factors
Speaker 3 and 4: The final speakers were our fellow colleagues from the Prehospital Medicine iBSc, Zoe Leadbetter and Ashleigh Pittams. They discussed two arrest cases with a focus on the clinical details of both. In particular they discussed the primary survey of both and reflect on the cases by telling us what they learnt from these cases.
Our Academic Forum, this time around was on the topic of Human Factors. Speakers included two PCP student speakers and our very own PCP Lead Paramedic
1) Our first speaker was 3rd year medical student, Maria Ahmad. She discussed a case she had attended on a recent shift with her PCP mentor and the human factors related to the case. A special note which have been discussed in many AFs is the role of bandwidth and how it can be taken up for a student but also for any healthcare professional
2) Second speaker was 4th year medical student, Zakaria Rob. He discussed two cases that he attended during his MEDIC 2 shifts. With incorporation of human factors but also reflections of both shifts.
3) Our final speaker was our PCP Lead Paramedic, Craig Cassidy. He discussed his personal experience during the 7/7 attack and some of the difficult conditions he had to work in. Like Maria's talk, he discussed how his bandwidth was personally affected and crucially how it can be easily taken up in situations like this.
Our 5th AF of the year, had a slightly different twist with an important topic of Resilience. We didn't have just 3 speakers but we have 4 speakers:
1) Dr Mike Christian is a critical care doctor who had worked for a number of years in Canada. Has since come to the UK and is currently the Research & Clinical Effectiveness Lead - HEMS Doctor with London Air Ambulance. He is also a specialist medical officer/flight surgeon with RCAF and has worked all around the world. He spoke to us about building resilience to operational stress and exposures to trauma, with this drawing on some of his own experiences back when he was a paramedic until now.
2) Our next speaker was Dr Matthew Walton. He works closely with Dr Christian on the topic of trauma and resilience. For this Academic Forum, he spoke about psychological resilience in Pre-Hospital Medicine. The talk will include a film screening and presentation. The film screening (shown above) was a project involving multiple doctors and healthcare professionals providing great insight into approaches to resilience.
3) Our first student speaker was Payal Karia, a 3rd year Medical Student (2nd year PCP student), who discussed a case she had attended last year. With the aim to discuss an impact of a case but also the thoughts behind it and incorporating the theme of resilience.
4) Our 2nd speaker was Jonas Schlautmann, another 3rd year Medical Student (2nd year PCP student), discussing a case he had attended and the reflective questions he had at the time. Again with the aim of the presentation to discuss thoughts of the case and the key topic of resilience.
We return with the first AF of the 2019 year on the interesting topic of Head Injuries.
1) Prof. Mark Wilson, a consultant neurosurgeon and pre-hospital specialist working at Imperial College and as an Air Ambulance doctor. His main specialist area include acute brain injury and its early management and is the co-director of Imperial neurotrauma centre. In addition to this, has worked overseas and as an expedition doctor for expeditions to Arctic and Everest. He is also the co-founder of GoodSAM (https://www.goodsamapp.org/home) – an app that alerts doctors, nurses, paramedic and those trained in basic life support to emergencies around them.
2) Andrew Whitehouse, a Paramedic with the London Ambulance Service. He took us through a curveball of a case, to demonstrate all is not what it may seem.... The presentation was interactive and this brainteaser of a case is a great opportunity for all to practice their deductive skills.
3) Our student speaker was, Matthew Sibley, a 4th year medical student (3rd year PCP student), who took us through a case that he had attended in the last year. The case is based around the theme of head injuries. In particular, the pathophysiology of head injuries as well as the symptoms they may present with or mimic. An interesting presentation with a student's first hand perspective.
Third PCP Academic Forum of the 2018/2019 year!
We had three speakers:
1) Rosie Burd, a 3rd year PCP student, who discussed a case she had attended, which covered the clinical side of the case as well as an overall reflection of the case. Alongside her, Sean Harris, PCP Lead Paramedic spoke more about what was involved on scene but also working in cramped conditions, which may be required in a major traumatic event.
2) Dr Halden Hutchinson-Bazely, a RAF anesthetics trainee, pre-hospital doctor with LIVES and course director of the ATACC. His talk was based on life threatening injuries for example blunt force trauma with an aspect on decision making skills required and process of extrication.
3) Final talk was from Graham Chalk, a HEMS paramedic, who walked us through the crucial decisions made by HEMS Paramedics in the LAS control room, as they decide who to send the air ambulance and its advanced trauma team to.